A nurse is administering insulin glargine to a client.Which of the following actions should the nurse take to prevent medication errors? Select all that apply.

Double check all dosage calculations.

nusually large or small doses.

Compare the medication label to the order.

Use at least 2 client identifiers before administering a dose.

Involve and educate clients in medication administration.

Document all medication in the electronic record as soon as it is given.

Answer and Explanation

Correct Answer : A,C,D,E,F

Choice A rationale
Double-checking all dosage calculations is a critical step in preventing medication errors. This ensures that the correct dose is administered and helps avoid potentially harmful mistakes.
Choice B rationale
The option “nusually large or small doses” seems to be a typographical error and does not provide a clear action to prevent medication errors. Therefore, it is not considered a correct choice.
Choice C rationale
Comparing the medication label to the order is essential to ensure that the correct medication is being administered. This step helps verify that the medication matches the provider’s prescription.
Choice D rationale
Using at least two client identifiers before administering a dose is a standard safety practice to confirm the client’s identity and prevent administering medication to the wrong person.
Choice E rationale
Involving and educating clients in medication administration can help prevent errors by ensuring that clients are aware of their medications and can alert the nurse to any discrepancies or concerns.
Choice F rationale
Documenting all medication in the electronic record as soon as it is given is crucial for maintaining accurate records and ensuring that all healthcare providers have up-to-date information about the client’s medication administration.

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Correct Answer is C

Explanation

Choice A rationale
Inspecting crutches to ensure rubber tips are intact is important for safety, but it does not indicate an understanding of proper crutch walking technique. Proper crutch walking involves more than just equipment inspection.
Choice B rationale
Practicing bicep and triceps isometric exercises can help strengthen the muscles needed for crutch walking, but it does not directly demonstrate an understanding of the correct crutch gait. The focus should be on the actual technique of using the crutches.
Choice C rationale
Bearing body weight on the palms of hands during the crutch gait is the correct behavior that indicates an understanding of proper crutch walking. This technique helps distribute weight appropriately and prevents strain on the underarms, which can cause nerve damage and discomfort.
Choice D rationale
Progressing to foot touchdown and weight bearing of the affected leg is not appropriate for a three-point gait, which is used when the client should not bear any weight on the affected leg. This choice indicates a misunderstanding of the correct crutch walking technique for this specific gait.

A. Remove dentures or other oral appliance. B. Elevate the head of the bed to a 45-degree angle. C. Apply the client’s positive airway pressure device. D. Put and lock the side rails in place.

Correct Answer is C

Explanation

Choice A rationale
Removing dentures or other oral appliances is not the most critical intervention for a client with severe obstructive sleep apnea (OSA) who has received an opioid analgesic. The priority is to ensure airway patency.
Choice B rationale
Elevating the head of the bed to a 45-degree angle can help improve airway patency but is not as effective as applying the positive airway pressure device.
Choice C rationale
Applying the client’s positive airway pressure device (CPAP or BiPAP) is the most important intervention because it directly maintains airway patency and prevents respiratory compromise, which is crucial for a client with severe OSA2.
Choice D rationale
Putting and locking the side rails in place is important for safety but does not address the critical need to maintain airway patency in a client with severe OSA.

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A nurse is administering insulin glargine to a client.Which of the following actions should the nurse take to prevent medication errors? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is demonstrating three-point gait crutch walking to an older adult client who broke a foot while playing soccer with the grandchildren. Which behavior indicates that the client understands proper crutch walking?

Correct Answer is C

Explanation

A nurse administers an opioid analgesic to a postoperative client who also has severe obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client alone?

Correct Answer is C

Explanation

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